Jennifer S Gannon, PA

NPI #1396703575 in Frederick, Maryland

Provider Information

NPI Number
1396703575
Entity Type
Individual
Name
Jennifer S Gannon, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Surgical
Credential
PA
Enumeration Date
May 3, 2006
Last Updated
Jan 24, 2020

Practice Location

Address
501 W 7TH ST
ZIP Code
21701-4586
Phone
(301) 663-9573

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical
Physician Assistant - SurgicalSurgical

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